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if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile
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Weight change is usually gradual over weeks to months and depends on dose, diet, activity, sleep, and side effects
Injections can also cause swelling and bruising, and misuse can raise infection risk
This entry does not include dosing amounts, injection frequency, or cycle instructions
